Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

RICHARD A FIERO

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1083603344
CMS profile
94507
Location
LARGO, MD

General Payments · PY2018–2024

$11,455.96

  • Reported across 609 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,899.63

78 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,799.68 77
Education $99.95 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,065.27 71
PY2019 $1,389.04 83
PY2020 $1,068.98 65
PY2021 $1,284.30 74
PY2022 $2,304.89 124
PY2023 $2,443.85 114
PY2024 $1,899.63 78

Payment records · PY2024 (78)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Actelion Pharmaceuticals US, Inc. $28.95 02/15/2024 Food and Beverage Undisputed 01/23/2026 1078892821 CMS
Actelion Pharmaceuticals US, Inc. $24.68 04/18/2024 Food and Beverage Undisputed 01/23/2026 1078892813 CMS
Actelion Pharmaceuticals US, Inc. $24.20 05/23/2024 Food and Beverage Undisputed 01/23/2026 1078892817 CMS
Actelion Pharmaceuticals US, Inc. $27.94 06/25/2024 Food and Beverage Undisputed 01/23/2026 1078892825 CMS
Actelion Pharmaceuticals US, Inc. $24.96 07/23/2024 Food and Beverage Undisputed 01/23/2026 1078892823 CMS
Amgen Inc. $26.67 06/06/2024 Food and Beverage Undisputed 01/23/2026 1115623385 CMS
ANI Pharmaceuticals, Inc. $31.35 01/02/2024 Food and Beverage Undisputed 01/23/2026 1091167762 CMS
ANI Pharmaceuticals, Inc. $31.30 01/31/2024 Food and Beverage Undisputed 01/23/2026 1091163788 CMS
ANI Pharmaceuticals, Inc. $31.70 03/29/2024 Food and Beverage Undisputed 01/23/2026 1091136873 CMS
ANI Pharmaceuticals, Inc. $21.65 09/05/2024 Food and Beverage Undisputed 01/23/2026 1091147130 CMS
Astellas Pharma US Inc $28.88 06/25/2024 Food and Beverage Undisputed 01/23/2026 1139365805 CMS
AstraZeneca Pharmaceuticals LP $37.67 01/17/2024 Food and Beverage Undisputed 01/23/2026 1104310720 CMS
AstraZeneca Pharmaceuticals LP $13.27 01/29/2024 Food and Beverage Undisputed 01/23/2026 1105400983 CMS
AstraZeneca Pharmaceuticals LP $18.92 01/31/2024 Food and Beverage Undisputed 01/23/2026 1105724615 CMS
AstraZeneca Pharmaceuticals LP $20.96 03/20/2024 Food and Beverage Undisputed 01/23/2026 1105517185 CMS
AstraZeneca Pharmaceuticals LP $15.26 04/02/2024 Food and Beverage Undisputed 01/23/2026 1104378925 CMS
AstraZeneca Pharmaceuticals LP $18.21 04/22/2024 Food and Beverage Undisputed 01/23/2026 1105212636 CMS
AstraZeneca Pharmaceuticals LP $21.50 05/02/2024 Food and Beverage Undisputed 01/23/2026 1105551146 CMS
AstraZeneca Pharmaceuticals LP $28.42 06/18/2024 Food and Beverage Undisputed 01/23/2026 1104639831 CMS
AstraZeneca Pharmaceuticals LP $18.88 06/26/2024 Food and Beverage Undisputed 01/23/2026 1105863326 CMS
AstraZeneca Pharmaceuticals LP $23.81 07/09/2024 Food and Beverage Undisputed 01/23/2026 1105866296 CMS
AstraZeneca Pharmaceuticals LP $17.72 07/18/2024 Food and Beverage Undisputed 01/23/2026 1105748149 CMS
AstraZeneca Pharmaceuticals LP $18.29 07/22/2024 Food and Beverage Undisputed 01/23/2026 1104347106 CMS
AstraZeneca Pharmaceuticals LP $15.49 07/24/2024 Food and Beverage Undisputed 01/23/2026 1104557806 CMS
AstraZeneca Pharmaceuticals LP $17.64 08/27/2024 Food and Beverage Undisputed 01/23/2026 1105615099 CMS
AstraZeneca Pharmaceuticals LP $17.67 09/16/2024 Food and Beverage Undisputed 01/23/2026 1105554346 CMS
AstraZeneca Pharmaceuticals LP $18.66 10/22/2024 Food and Beverage Undisputed 01/23/2026 1104727649 CMS
Axsome Therapeutics, Inc. $15.39 03/07/2024 Food and Beverage Undisputed 01/23/2026 1148315516 CMS
Baxter Healthcare $15.82 03/21/2024 Food and Beverage Undisputed 01/23/2026 1120632267 CMS
Baxter Healthcare $30.09 09/04/2024 Food and Beverage Undisputed 01/23/2026 1120632269 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.38 09/20/2024 Food and Beverage Undisputed 01/23/2026 1086253794 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $30.31 01/03/2024 Food and Beverage Undisputed 01/23/2026 1117865535 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.81 01/26/2024 Food and Beverage Undisputed 01/23/2026 1117865525 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.77 02/29/2024 Food and Beverage Undisputed 01/23/2026 1117865527 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.46 03/20/2024 Food and Beverage Undisputed 01/23/2026 1117865529 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.45 05/21/2024 Food and Beverage Undisputed 01/23/2026 1117865531 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.77 06/12/2024 Food and Beverage Undisputed 01/23/2026 1117865533 CMS
Electromed, Inc. $21.21 04/19/2024 Food and Beverage Undisputed 01/23/2026 1137889609 CMS
Exact Sciences Corporation $31.88 12/18/2024 Food and Beverage Undisputed 01/23/2026 1114413461 CMS
GENZYME CORPORATION $28.91 01/04/2024 Food and Beverage Undisputed 01/23/2026 1139623605 CMS
GENZYME CORPORATION $33.05 04/25/2024 Food and Beverage Undisputed 01/23/2026 1139623647 CMS
GENZYME CORPORATION $24.59 07/16/2024 Food and Beverage Undisputed 01/23/2026 1139623663 CMS
GENZYME CORPORATION $24.59 08/15/2024 Food and Beverage Undisputed 01/23/2026 1139623669 CMS
GlaxoSmithKline, LLC. $19.29 01/30/2024 Food and Beverage Undisputed 01/23/2026 1116254549 CMS
GlaxoSmithKline, LLC. $17.20 02/13/2024 Food and Beverage Undisputed 01/23/2026 1116671568 CMS
GlaxoSmithKline, LLC. $19.47 03/13/2024 Food and Beverage Undisputed 01/23/2026 1116303207 CMS
GlaxoSmithKline, LLC. $4.84 03/19/2024 Food and Beverage Undisputed 01/23/2026 1116248994 CMS
GlaxoSmithKline, LLC. $17.20 04/24/2024 Food and Beverage Undisputed 01/23/2026 1116525990 CMS
GlaxoSmithKline, LLC. $23.44 05/10/2024 Food and Beverage Undisputed 01/23/2026 1115796035 CMS
GlaxoSmithKline, LLC. $16.02 05/22/2024 Food and Beverage Undisputed 01/23/2026 1115866455 CMS
GlaxoSmithKline, LLC. $23.95 06/10/2024 Food and Beverage Undisputed 01/23/2026 1116455307 CMS
GlaxoSmithKline, LLC. $19.61 06/20/2024 Food and Beverage Undisputed 01/23/2026 1116228163 CMS
GlaxoSmithKline, LLC. $9.69 07/10/2024 Food and Beverage Undisputed 01/23/2026 1115767512 CMS
GlaxoSmithKline, LLC. $18.47 12/04/2024 Food and Beverage Undisputed 01/23/2026 1116621169 CMS
Grifols USA, LLC $20.65 02/20/2024 Food and Beverage Undisputed 01/23/2026 1124714749 CMS
Grifols USA, LLC $25.81 04/12/2024 Food and Beverage Undisputed 01/23/2026 1124714751 CMS
Grifols USA, LLC $14.54 06/21/2024 Food and Beverage Undisputed 01/23/2026 1124714753 CMS
HARMONY BIOSCIENCES LLC $28.83 02/24/2024 Food and Beverage Undisputed 01/23/2026 1126093398 CMS
HARMONY BIOSCIENCES LLC $47.29 04/05/2024 Food and Beverage Undisputed 01/23/2026 1126093394 CMS
HARMONY BIOSCIENCES LLC $25.59 06/05/2024 Food and Beverage Undisputed 01/23/2026 1126093400 CMS
HARMONY BIOSCIENCES LLC $31.07 06/14/2024 Food and Beverage Undisputed 01/23/2026 1126093396 CMS
Insmed, Inc. $22.41 04/30/2024 Food and Beverage Undisputed 01/23/2026 1089574436 CMS
Insmed, Inc. $21.47 06/05/2024 Food and Beverage Undisputed 01/23/2026 1089560904 CMS
Insmed, Inc. $20.31 08/14/2024 Food and Beverage Undisputed 01/23/2026 1089567861 CMS
Mallinckrodt Hospital Products Inc. $28.25 05/09/2024 Food and Beverage Undisputed 01/23/2026 1145071594 CMS
Mallinckrodt Hospital Products Inc. $32.35 06/19/2024 Food and Beverage Undisputed 01/23/2026 1145071598 CMS
Mallinckrodt Hospital Products Inc. $28.03 07/30/2024 Food and Beverage Undisputed 01/23/2026 1145071602 CMS
Paratek Pharmaceuticals, Inc. $17.37 04/04/2024 Food and Beverage Undisputed 01/23/2026 1113899769 CMS
Paratek Pharmaceuticals, Inc. $19.63 07/10/2024 Food and Beverage Undisputed 01/23/2026 1113899771 CMS
PFIZER INC. $23.43 03/12/2024 Food and Beverage Undisputed 01/23/2026 1131573136 CMS
PFIZER INC. $23.20 09/25/2024 Food and Beverage Undisputed 01/23/2026 1131504096 CMS
Regeneron Healthcare Solutions, Inc. $32.57 01/23/2024 Food and Beverage Undisputed 01/23/2026 1114047476 CMS
Regeneron Healthcare Solutions, Inc. $30.53 02/07/2024 Food and Beverage Undisputed 01/23/2026 1114047478 CMS
SANOFI-AVENTIS U.S. LLC $99.95 01/23/2024 Education Undisputed 01/23/2026 1139623603 CMS
Takeda Pharmaceuticals U.S.A., Inc. $27.21 01/18/2024 Food and Beverage Undisputed 01/23/2026 1137547202 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.74 03/13/2024 Food and Beverage Undisputed 01/23/2026 1137547206 CMS
Takeda Pharmaceuticals U.S.A., Inc. $33.69 07/17/2024 Food and Beverage Undisputed 01/23/2026 1137547210 CMS
United Therapeutics Corporation $24.40 07/19/2024 Food and Beverage Undisputed 01/23/2026 1149454794 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.